Nokea
The nurse is preparing to administer a long-acting insulin. Which insulin is considered long acting?
- A. Lispro
- B. Aspart
- C. Glargine
- D. Regular
Correct Answer: C
Rationale: Insulin glargine is a long-acting insulin, unlike Lispro, Aspart, and Regular which are rapid or short-acting.
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What is an important consideration for the school-age child taking DDAVP for diabetes insipidus?
- A. Observe for signs of water deprivation.
- B. Restrict his physical education program.
- C. Arrange for the child to use the bathroom when needed.
- D. Limit fluid intake other than during the lunch period.
Correct Answer: C
Rationale: The child with diabetes insipidus needs liberal access to bathrooms due to frequent urination.
What statement by a parent leads the nurse to determine a parent is administering levothyroxine (Synthroid) correctly?
- A. I stopped giving the medication because my daughter was losing her hair.'
- B. I am using a different brand now because it costs less money.'
- C. I don't give the medication on the weekends.'
- D. I give the medication at 8:00 AM every day.'
Correct Answer: D
Rationale: Synthroid should be given at the same time each day, preferably in the morning, for consistent therapeutic effect.
A child with diabetes mellitus is observed to have cold symptoms. What signs and symptoms will alert parents of the possibility of ketoacidosis? (Select all that apply.)
- A. Chest congestion
- B. Ear pain
- C. Fruity breath
- D. Hyperactivity
- E. Nausea
Correct Answer: C,E
Rationale: Fruity breath and nausea are key indicators of ketoacidosis in a diabetic child.
What does the nurse instruct a 12-year-old to do when teaching how to administer insulin?
- A. Make sure injection sites are 6 inches apart.
- B. Select an injection site that was recently exercised.
- C. Inject the needle at a 90-degree angle.
- D. Give the injection deep into the muscle.
Correct Answer: C
Rationale: Children often find it easier to inject insulin at a 90-degree angle for proper administration.
The parents of a child newly diagnosed with diabetes mellitus tell the nurse, 'Our son's body is resistant to insulin.' With what does the nurse recognize this description is consistent?
- A. Type 1, insulin-dependent diabetes mellitus
- B. Type 2, non-insulin-dependent diabetes mellitus
- C. Maturity-onset diabetes of youth
- D. Drug-induced diabetes
Correct Answer: B
Rationale: Type 2 diabetes mellitus is characterized by insulin resistance, unlike type 1 which involves insulin deficiency.